Good Faith Medicine

LBN: Good Faith Medical Inc
Good Faith Medicine is an health care organization with primary practice located at 18701 N 67Th Ave , Glendale AZ 85308-7100. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. Good Faith Medical Inc can be contacted via phone (623) 561-1000, or through Rafique, Salam via phone (602) 722-2074.

Contact Information

Primary practice address
18701 N 67Th Ave Glendale AZ 85308-7100
Fax:
Website:
Authorized official contact:
Name: Rafique, Salam Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X

Profile Details

NPI number 1063093672
LBN Legal business name Good Faith Medical Inc
DBA Doing business as Good Faith Medicine
Authorized official Rafique, Salam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2021
Last updated Apr 29th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063093672 NPPES
Arizona MEDICAID 499394

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